Forms

Download, Print, Fill Out, and Bring With You.

You now have the ability to download, print, and fill out some of our registration and privacy forms in the comfort of your own home. Please complete these forms and bring them with you to your visit. You can also schedule your appointment online. Simply click on the “ZipPass” logo on our HOME page and submit that short form.

  • New Patient Registration
  • HIPAA Release Forms
  • Privacy Policies
  • Non-Covered Routine Services Policy
  • Patient’s Responsibility
  • Credit or Debit Card Authorization